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妊娠合并卵巢肿瘤的诊疗进展
引用本文:辛玉琦,王晓慧. 妊娠合并卵巢肿瘤的诊疗进展[J]. 国际生殖健康/计划生育杂志, 2021, 40(2): 167-171. DOI: 10.12280/gjszjk.20200321
作者姓名:辛玉琦  王晓慧
作者单位:730000 兰州大学第一临床医学院;兰州大学第一医院妇产科甘肃省妇科肿瘤重点实验室
摘    要:
妊娠合并卵巢肿瘤(pregnancy associated with ovarian tumors,POT)是妊娠期较常见的并发症之一,近年来,随着产科超声的广泛应用,在妊娠期间被诊断为POT的妇女数量有所增加.POT多数为功能性囊肿,于妊娠期偶然发现并自行消退,恶性肿瘤的发生率为1%~6%,其中以无性细胞瘤最为常见....

关 键 词:妊娠  妊娠并发症  肿瘤  卵巢肿瘤  诊断  治疗
收稿时间:2020-06-08

Progress in Diagnosis and Treatment of Pregnancy Associated with Ovarian Tumors
XIN Yu-qi,WANG Xiao-hui. Progress in Diagnosis and Treatment of Pregnancy Associated with Ovarian Tumors[J]. Journla of International Reproductive Health/Family Planning, 2021, 40(2): 167-171. DOI: 10.12280/gjszjk.20200321
Authors:XIN Yu-qi  WANG Xiao-hui
Affiliation:The First School of Clinical Medicine, Lanzhou University, Lanzhou 730000, China (XIN Yu-qi); Key Laboratory of Gynecological Oncology of Gansu Province, Department of Obstetrics and Gynecology, The First Hospital of Lanzhou University, Lanzhou 730000, China (WANG Xiao-hui)
Abstract:
Pregnancy associated with ovarian tumors(POT)is one of the most complications of pregnancy.With the application of ultrasound in prenatal examination,more and more POT has been diagnosed during pregnancy.POT is mostly a functional cyst that discovered by chance during pregnancy and resolved spontaneously.The incidence of malignant POT is 1%-6%,among which disgerminoma is the most common.Most of POT have no specific clinical symptoms,while a few of POT can rupture,twist and so on with acute abdomen.There are various clinical diagnosis methods.Ultrasound examination is usually the first choice for imaging examination.Tumor markers can help to assess the potential malignant risk.At present,there is no standardized diagnosis and treatment guideline of POT.Both maternal and fetal factors should be taken into consideration in treatment.Clinicians should make the individual plan for each POT patient according to her gestational week,tumor type,disease stage,etc.Due to the advantages of less bleeding and faster recovery,laparoscopic surgery is preferred.This article reviews the progress of POT diagnosis and treatment in order to provide reference for clinical work.
Keywords:Pregnancy  Pregnancy complications,neoplastic  Ovarian neoplasms  Diagnosis  Therapy
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